@layout("/common/_form.html",{js:["/assets/company/company_add.js"],css:["/assets/common/module/formSelects/formSelects-v4.css"]}){

<form class="layui-form" id="userForm" lay-filter="userForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input id="companyId" name="companyId" type="hidden" value="${companyId}"/>
                    <input id="pushId" name="pushId" type="hidden" value="${pushId}"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">理由类型<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                             <select name="interest" lay-filter="status" lay-verify="required" required id="status">
                                    <option value="">请选择拒绝理由</option>
                                    <option value="0">资料不全</option>
                                    <option value="1">虚假信息</option>
                              </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">填写理由</label>
                        <div class="layui-input-block">
                             <textarea placeholder="请填写拒绝的理由" id="writeReason" class="layui-textarea"></textarea>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                       <div class="layui-upload">
						  <button type="button" class="layui-btn" id="test2">图片上传</button> 
						  <blockquote class="layui-elem-quote layui-quote-nm" style="margin-top: 10px;">
						   	 预览图：
    						<div class="layui-upload-list" id="demo2"></div>
 							</blockquote>
					    </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}
